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Montana rates for HCPCS A4719

"Y set" tubing for peritoneal dialysis

Facilitymedian $4 · 10th–90th $4$90%50%10th90th$4Professionalmedian $4 · 10th–90th $4$40%50%$4$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.27 / $8.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $79.43